scholarly journals Post Circumcision Intraperitoneal Rupture of the Urinary Bladder: A Rare Complication

2020 ◽  
Vol 08 (01) ◽  
pp. e14-e17
Author(s):  
Sherif Abdelmaksoud ◽  
Mohammed Albishbishy ◽  
Mostafa Elayyouti ◽  
Mohamed Zohiri ◽  
Adham Elsaied
Keyword(s):  
Urinary Bladder ◽  
Rare Case ◽  
Rare Complication ◽  
Bladder Wall ◽  
Abdominal Distension ◽  
Bladder Rupture ◽  
Postoperative Course ◽  
Intraperitoneal Rupture ◽  
The World ◽  
Intraperitoneal Bladder Rupture

AbstractCircumcision is one of the most common pediatric surgical procedures performed all over the world and especially in Arab and Islamic countries. Many complications have been documented following this maneuver. We report on a rare case of intraperitoneal bladder rupture in a 7-day-old baby who was circumcised on his second day using the guillotine method. He presented to us with gangrene of the tip of the penis and a failure to void urine associated with progressive abdominal distension. Ultrasound revealed severe ascites. Aspiration and analysis confirmed the fluid to be urine. Ascending cystourethrogram was performed revealing a perforation of the posterior bladder wall near the trigone. Exploration was performed and repair done. Postoperative course was uneventful.

scholarly journals Delayed Presentation of Traumatic Intraperitoneal Rupture of Urinary Bladder

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Hazim H. Alhamzawi ◽  
Husham M. Abdelrahman ◽  
Khalid M. Abdelrahman ◽  
Ayman El-Menyar ◽  
Hassan Al-Thani ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Young Male ◽  
Rare Condition ◽  
Bladder Rupture ◽  
Bladder Injury ◽  
Blunt Injury ◽  
Delayed Presentation ◽  
Post Injury ◽  
Intraperitoneal Rupture ◽  
Intraperitoneal Bladder Rupture

Blunt injury of the urinary bladder is well known and usually associates pelvic fractures. Isolated bladder injury is a rare condition and on the other hand, delayed bladder perforation is an extremely rare entity. Herein, we described an unusual case of isolated delayed intraperitoneal bladder rupture that occurred on the third post injury day in a young male in the absence of free intraperitoneal fluid and pelvic fracture. The diagnostic workup, course and the need for surgical repair of the injury is presented.

scholarly journals An uncommon case of intraperitoneal urinary bladder rupture in an adult with pelvic bone fracture

2018 ◽  
Vol 5 (3) ◽  
pp. 1133
Author(s):  
Rekha Gupta ◽  
Vivek J.
Keyword(s):  
Urinary Bladder ◽  
Adult Patient ◽  
Bone Fracture ◽  
Bladder Rupture ◽  
Pelvic Bone ◽  
Intraperitoneal Rupture ◽  
Iatrogenic Trauma ◽  
Intraperitoneal Bladder Rupture ◽  
Uncommon Case ◽  
High Degree

Injury of urinary bladder can occur due to blunt, penetrating, or iatrogenic trauma. Here, author present an uncommon case of Intraperitoneal bladder rupture in an adult patient with associated pelvic bone fracture. Following a fall from his house, a 40 years old male patient presented with haematuria and abdominal pain. CT scan of abdomen revealed Intraperitoneal bladder rupture with pelvic bone fracture. Intraoperative findings revealed intraperitoneal rupture of bladder with a defect in dome region. It was repaired with Vicryl 2-0 suture. So, a high degree of suspicion of intraperitoneal bladder rupture should be kept in mind even though it has associated pelvic bone fracture in an adult patient.

Intraperitoneal Urinary Bladder Rupture as a Cause of Pneumoperitoneum

2021 ◽  
pp. 000313482110257
Author(s):  
Dar Parvez M ◽  
Kour Supreet ◽  
Sharma Ajay ◽  
Kumar Subodh
Keyword(s):  
Urinary Bladder ◽  
Primary Repair ◽  
Exploratory Laparotomy ◽  
Pelvic Trauma ◽  
Bladder Rupture ◽  
Abdominal Pressure ◽  
Trauma Patients ◽  
Hollow Viscus ◽  
Sudden Rise ◽  
Intraperitoneal Bladder Rupture

The most common cause of pneumoperitoneum in trauma patients is hollow viscus injury; however, in patients with pneumoperitoneum on imaging and normal hollow viscus during the laparotomy, other rare causes of pneumoperitoneum like intraperitoneal urinary bladder rupture should be ruled out. Urinary bladder can rupture either extraperitoneally or intraperitoneally or both. Rupture of the urinary bladder is commonly seen in patients with abdominal trauma; however, pneumoperitoneum is usually not seen in patients with traumatic bladder rupture. Intraperitoneal bladder rupture is usually due to the sudden rise in intra-abdominal pressure following abdominal or pelvic trauma. However, it is a rare cause of pneumoperitoneum and is managed by surgical repair. We present a case of blunt trauma abdomen with pneumoperitoneum due to isolated intraperitoneal bladder rupture who was managed by exploratory laparotomy and primary repair of the urinary bladder.

scholarly journals Spontaneous Rupture of Urinary Bladder: Two Case Reports and Review of Literature

2021 ◽  
Vol 8 ◽  
Author(s):  
Yue Zhang ◽  
Shuo Yuan ◽  
Rami W. A. Alshayyah ◽  
Wankai Liu ◽  
Yang Yu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Urinary Bladder ◽  
Antibiotic Therapy ◽  
Acute Abdomen ◽  
Spontaneous Rupture ◽  
Bladder Tumor ◽  
Bladder Rupture ◽  
Intraperitoneal Rupture ◽  
History Of ◽  
Ct Cystography

Objectives: Spontaneous rupture of the urinary bladder (SRUB) is extremely rare and might be misdiagnosed, leading to a high mortality rate. The current study aimed to identify the cause, clinical features, and diagnosis strategy of SRUB.Methodology: We presented a case report for two women (79 and 63 years old) misdiagnosed with acute abdomen and acute kidney injury, respectively, who were finally confirmed to have SRUB by a series of investigations and exploratory surgery. Meanwhile, literature from multiple databases was reviewed. PubMed, the Chinese National Knowledge Infrastructure (CNKI), the Chinese Biological Medical Literature Database (CBM), WANFANG DATA, and the Chongqing VIP database for Chinese Technical Periodicals (VIP) were searched with the keywords “spontaneous bladder rupture” or “spontaneous rupture of bladder” or “spontaneous rupture of urinary bladder.” All statistical analyses were conducted using SPSS 20.0 software.Results: A total of 137 Chinese and 182 English literature papers were included in this article review. A total of 713 SRUB patients were analyzed, including the two patients reported by us. The most common cause of SRUB was alcohol intoxication, lower urinary tract obstruction, bladder tumor or inflammation, pregnancy-related causes, bladder dysfunction, pelvic radiotherapy, and history of bladder surgery or bladder diverticulum. Most cases were diagnosed by exploratory laparotomy and CT cystography. Patients with extraperitoneal rupture could present with abdominal pain, abdominal distention, dysuria, oliguria or anuria, and fever. While the main symptoms of intraperitoneal rupture patients could be various and non-specific. The common misdiagnoses include acute abdomen, inflammatory digestive disease, bladder tumor or inflammation, and renal failure. Most of the patients (84.57%) were treated by open surgical repair, and most of them were intraperitoneal rupture patients. Overall, 1.12% of patients were treated by laparoscopic surgery, and all of them were intraperitoneal rupture patients. Besides, 17 intraperitoneal rupture patients and 6 extraperitoneal rupture patients were treated by indwelling catheterization and antibiotic therapy. Nine patients died of delayed diagnosis and treatment.Conclusions: SRUB often presents with various and non-specific symptoms, which results in misdiagnosis or delayed treatment. Medical staff noticing abdominal pain suggestive of peritonitis with urinary symptoms should be suspicious of bladder rupture, especially in patients with a history of bladder disease. CT cystography can be the best preoperative non-invasive examination tool for both diagnosis and evaluation. Conservative management in the form of urine drainage and antibiotic therapy can be used in patients without severe infection, bleeding, or major injury. Otherwise, surgical treatment is recommended. Early diagnosis and management of SRUB are crucial for an uneventful recovery.

scholarly journals Spontaneous Intraperitoneal Bladder Rupture: A Rare Case Report

2019 ◽  
Author(s):  
Anwesa Chakraborty ◽  
Kaushik Mandal ◽  
Anirban Bhunia ◽  
Saikat Hasnat ◽  
Santanu Dutta
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Bladder Rupture ◽  
Rare Case Report ◽  
Intraperitoneal Bladder Rupture

An Unusual Iatrogenic Injury of Urinary Bladder Following Foley’s Catheterization

2020 ◽  
Keyword(s):  
Abdominal Pain ◽  
Urinary Bladder ◽  
Bladder Wall ◽  
Signs And Symptoms ◽  
Pelvic Trauma ◽  
Iatrogenic Injury ◽  
Bladder Rupture ◽  
Bladder Diverticulum ◽  
Urethral Trauma ◽  
Prostatic Enlargement

Urinary bladder perforation is most commonly observed after pelvic trauma. It can also be a result of iatrogenic injury during various surgical procedures. Very rarely, diseased bladder can spontaneously rupture. Traumatic bladder rupture is a serious event with mortality rate approaching 50%. Urinary bladder diverticulae are present of the bladder wall and are a consequence of bladder outflow obstruction, for example in prostatic enlargement. Foley’s catheterization is most commonly associated commonly with urethral trauma. We presented a emphasis is made unique case of perforation of urinary bladder diverticulum after Foley’s catheterization. To the best of our knowledge, such a case has never been reported before in the medical literature. An emphasis was made on the fact that, physicians should keep in mind the differential of perforated urinary bladder while attending a patient with abdominal pain because the signs and symptoms are very non specificurinary bladder while attending a patient with abdominal pain just because its signs and symptoms are very non-specific. In addition, missing a perforated urinary bladder is easy and can result in significant morbidity and mortality. Keywords: Bladder Diverticulum; Urinary Catheters; Perforation.

Acute Abdomen Syndrome Due To Spontaneous Intraperitoneal Bladder Rupture Following Vaginal Delivery

2017 ◽  
Vol 222 (01) ◽  
pp. 34-36 ◽  
Author(s):  
Dubravko Habek ◽  
Ingrid Marton ◽  
Ana Luetic ◽  
Matija Prka ◽  
Zeljka Kuljak ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Vaginal Delivery ◽  
Uterine Rupture ◽  
Rare Case ◽  
Adverse Outcome ◽  
Bladder Rupture ◽  
Normal Vaginal Delivery ◽  
Intraperitoneal Bladder Rupture ◽  
New Onset

AbstractWe report a rare case of spontaneous intraperitoneal bladder rupture following normal vaginal delivery without concomitant uterine rupture. Key diagnostic clinical features were acute renal failure, new-onset ascites and bowel ileus with urosepsis. Laparotomy and bladder repair with omentum patch were performed with no adverse outcome reported.

scholarly journals Intraperitoneal Rupture of Ectopic Varices—a Rare Complication of Portal Hypertension

HPB Surgery ◽  
1994 ◽  
Vol 7 (4) ◽  
pp. 315-318 ◽  
Author(s):  
Alastair N. J. Graham ◽  
Paul Mcaleese ◽  
R. John Moorehead
Keyword(s):  
Rare Complication ◽  
Abdominal Distension ◽  
Emergency Laparotomy ◽  
High Dose ◽  
Rare Occurrence ◽  
Ectopic Varices ◽  
Intraperitoneal Rupture ◽  
High Dose Aprotinin ◽  
The Right ◽  
Intraperitoneal Haemorrhage

A 50 year old man presented with sudden abdominal pain, abdominal distension and shock. At emergency laparotomy a large amount of blood was found in the peritoneal cavity. There was micronodular cirrhosis of the liver and the spleen was enlarged. The bleeding was traced to distended veins in the right paracolic gutter which were oversewn and the abdomen closed. A coagulopathy was diagnosed and treatment including high dose aprotinin commenced. However, he continued to bleed and at a second laparotomy the area of previous haemorrhage was packed. Further deterioration continued until death 12 hours later. Intraperitoneal haemorrhage from ectopic varices is a rare occurrence. There is a high mortality rate usually due to an advanced coagulopathy. This is the first report of aprotinin being used in an attempt to treat this. On the basis of this report aprotinin would not seem to be of benefit for this condition.

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